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Individual

THERESE M. ZINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-073929
OH
207Q00000X
Family Medicine Physician
Primary
MD16139
RI
207QA0000X
Adolescent Medicine (Family Medicine) Physician
30207
MN
207QA0505X
Adult Medicine Physician
30207
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-20279
MEDICA CHOICE
01
0120279
MEDICA PRIMARY
05
0598466
IA
01
1040859
PREFERRED ONE
01
116273
UCARE
05
2049367
OH
01
2214946
PPO
05
34686600
WI
01
587T6ZI
BCBS
MN
05
664382500
MN
01
A030
CHAMPUS-TRICARE
01
HP11770
HEALTHPARTNERS
Enumeration date
05/22/2006
Last updated
04/26/2021
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